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<br />IllTAI <br /> <br />.IIIIITE <br />.'.III'.'II.tlllll" Serving Florida since 1955 <br /> <br />PRODUCTS, INC. <br /> <br />o <br />2101 E. Main Street <br />Leesburg, FL 34748 <br />(352) 787-6783 <br /> <br />o <br />719 Otis Rd. <br />Lecanto, FL <br />(352) 795-3325 <br /> <br />o <br />18040 U. S. Hwy. 441 <br />Mount Dora, FL 32757 <br />(352) 383-7135 <br /> <br />o <br />2302 Mercator Dr. <br />Orlando, FL 32807 <br />(407) 681-8823 <br /> <br />o <br />5059 Ridgewood Ave. <br />Port Orange, FL 32127 <br />(386) 788-1048 <br /> <br /> <br />6005 w~. 17-92 <br />Haines City, FL 33844 <br />(863) 956-3441 <br /> <br />o <br />2300 Bruner Lane S.E. <br />Fort Myers, FL 33912 <br />(239) 481-4900 <br /> <br />o <br />1404 Mercantile Court <br />Plant City, FL 33567 <br />(813) 717-9177 <br /> <br />o <br />CORPORATE OFFICE <br />P. O. Box 491292 <br />Leesburg, FL 34749 <br />(352) 787-3622 <br /> <br />Date: <br /> <br />8/10/07 <br /> <br />City of Zephyrhills <br /> <br />Buildina Division 4801 Airport Rd. #21l~ <br />Zephyrhills, FL 33542 <br /> <br />(Job Address) <br />Dale Hall-POA <br /> <br />(Runner's Name) <br /> <br />SIGNATURE AUTHORITY FORM FOR THE PURPOSE OF OBTAINING <br />BUILDING PERMITS <br /> <br />I, Keith Wood, of White Aluminum Products, LLC. do hereby designate <br />the following individuals as having the authority to sign and submit <br />applications and related documents for the purpose of obtaining building <br />permits under my State Certified License #CBC1250625. I further <br />acknowledge and accept as a licensed contractor, my responsibility and <br />liability for each project permitted under this authority designated on this <br />form, and that my failure to assume and fulfill said duty may be grounds <br />for the initiation of disciplinary action against my contractors license. <br /> <br />DESIGNATED SIGNERS: <br /> <br /> <br />Tyke Havasy <br />Keith Wood <br /> <br />'iwJg,L~ <br /> <br />(Contractor's Signature) <br /> <br />. . 10 8 <br />Subscnbed and sworn to before me this _ Day of <br />200~ <br /> <br /> <br />~dlJ ~l (l~ <br /> <br />, <br />NOTARY PUBLIC <br />My Commission Expires: <br />